Organization Active NPI

Marvin J. Hoffert, MD, PS

  • Medical Specialty Clinic/Center
  • Seattle, WA
National Provider Identifier
1295970457
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD00035635 Issued in WA
Legal business name
MARVIN J. HOFFERT, MD, PS
Practice address
1530 N 115TH St Ste 207
Seattle, WA 98133-8411
Phone
(206) 523-7246
NPI assigned
Dec 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Marvin J. Hoffert, MD
Title
Owner, Director
Phone
(206) 523-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MD00035635 WA Primary

Addresses

Primary practice location

1530 N 115TH St Ste 207
Seattle, WA 98133-8411

Mailing address

1530 N 115TH St Ste 207
Seattle, WA 98133-8411
Phone (206) 523-7246

Other identifiers 2

IdentifierTypeStateIssuer
1103043MedicaidWA
117818OtherWALABOR & INDUSTRIES

National Provider Directory

National Provider Directory

Locations

1530 N 115th St
Ste 207
Seattle, WA 98133
Phone (206) 367-3058

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1295970457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N 115TH ST STE 207",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338411",
            "telephone_number": "206-523-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N 115TH ST STE 207",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338411",
            "telephone_number": "206-523-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN J. HOFFERT, MD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "HOFFERT",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER, DIRECTOR",
        "authorized_official_telephone_number": "206-523-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "MD00035635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1103043",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "117818",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.